1_2.eps

Size: px
Start display at page:

Download "1_2.eps"

Transcription

1 第32回 日本頭頸部癌学会ランチョンセミナー6 Pre-Meeting Abstract FDG-PET の頭頸部癌における臨床的有用性 司会 長 放射線治療センター長 講演 1 耳鼻咽喉科 部長 講演 2 PETセンター長 岡村 光英 先生 日時 2008年6月13日 金 12:00 13:00 会場 ハイアットリージェンシー東京 共催 第32回 日本頭頸部癌学会 日本メジフィジックス株式会社 東京都江東区新砂3丁目4番10号 TEL 代 作成 AB-0805-G01 B会場

2

3

4

5

6

7

8

9

10 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19) 20) Nakasone Y et al. The role of whole-body FDG-PET in preoperative assessment of tumor staging in oral cancers. Ann Nucl Med 2001; 15: Schwartz DL et al. FDG-PET prediction of head and neck squamous cell cancer outcomes. Arc Otolaryngol Head Neck Surg 2004; 130: Goerres GW et al. Why most PET of lung and head-and-neck cancer will be PET/CT. J Nucl Med 2004: 45 Suppl: 66S-71S. Schoder H et al. Head and neck cancer: clinical usefulness and accuracy of PET/CT image fusion. Radiology 2004; 231: Schwartz DL et al. FDG-PET/CT-guided intensity modulated head and neck radiotherapy: a pilot investigation. Head and Neck 2005; 27: Wang D et al. Initial experience of FDG-PET/CT guided IMRT of head-and-neck carcinoma. Int J Radiat Oncol Biol Phys 2006; 65: Gordin A et al. Fluorodeoxyglucose-positron emission tomography/computed tomography imaging in patients with carcinoma of the larynx: Diagnostic accuracy and impact on clinical management. Laryngoscope 2006; 116: Schmid DT et al. Impact of positron emission tomography in the initial staging and therapy in locoregional advanced squamous cell carcinoma of the head and neck. Laryngoscope 2003; 13: Goerres GW. Clinical molecular anatomic imaging. Philadelphia,Lippincott Williams & Wilkins 2003; Ng SH et al. 18F-FDG PET and CT/MRI in oral cavity squamous cell carcinoma: A prospective study of 124 patients with histologic correlation. J Nucl Med 2005; 46: Chang JTC et al. Nasopharyngeal carcinoma staging by 18F-fluorodeoxyglucose positron emission tomography. Int J Radiation Oncol Biol Phys 2005; 62: Stokkel MPM et al. 18F-fluorodeoxyglucose dual-head positron emission tomography as a procedure for detecting simultaneous primary tumors in cases of head and neck cancer. Cancer 1999; Regelink G et al. Detection of unknown primary tumours and distant metastases in patients with cervical metastases: value of FDG-PET versus conventional modarities. Eur J Nucl Med 2002; 29: Rusthoven KWE et al. The role of fluorodeoxyglucose positron emission tomography in cervical lymph node metastases from an unknown primary tumor. Cancer 2004; 101: Lonneux M et al. Positron emission tomography with fluorodeoxyglucose for suspected head and neck tumor recurrence in the symptomatic patient. Laryngoscope 2000; 110: Greven KM et al. Serial positron emission tomography scans following radiation therapy of patients with head and neck cancer. Head Neck 2001; 23: Kitagawa Y et al. FDG-PET for prediction of tumour aggresiveness and response to intra-arterial chemotherapy and in head and neck cancer. Eur J Nucl Med Imaging 2003; 30: Kubota K et al. FDG-PET delayed imaging for the detection of head and neck cancer recurrence after radio-chemotherapy: comparison with MRI/CT: Eur J Nucl Med Mol Imaging 2004; 31: Nakamoto Y et al. Normal FDG distribution patterns in the head and neck: PET/CT evaluation. Radiology 2005; 234: ,,. FDG-PET. 2005; ,.

11 FAQ

12 MEMO MEMO

untitled

untitled 260 250 200 150 10 100 50 0 1960 1965 1970 1975 1980 1985 1985 1995 2000 2005 25% 56% 66% 60% 90 80 70 60 50 40 30 20 10 0 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 4 1999 1990 2003 2005 2010 500,000 70,000 100,000

More information

Glucose Glucose FDG-PET CT MRI 3-iXCT

Glucose Glucose FDG-PET CT MRI 3-iXCT 44 2 5 25 2005 2002 FDG-PET PET FDG-PET PET-CT PET positron 80 2 PET positron emission tomography 930 Warburg - FDG 2-deoxy-2-[ 8 F]fluoro- D-deoxy glucose FDG-6-2005 6 30 602-084 465 2FDG FDG-PET 2002

More information

昭歯誌 indd

昭歯誌 indd Dental Medicine Research 32 3 209 213, 2012 209 PET-CT PET-CT PET-CT 2006 8 2009 2 PET-CT 91 46 45 88 2 1 PET-CT 5 5.2 2 1 8 8.2 S 2 1 PET-CT Positron emission tomography-ct PET-CT 18 F-fluorodeoxy glucose

More information

食道がん化学放射線療法後のsalvage手術

食道がん化学放射線療法後のsalvage手術 2006 2 17 52 Daly JM, et al. J Am Coll Surg 2000;190:562-573 Esophageal Cancer: Results of an American College of Surgeons Patient Care Evaluation Study Daly JM, et al. J Am Coll Surg 2000;190:562-573

More information

20mg #tr#5*xlj lffin&+'.':, t) r+'z)vt '+D#J Centers for Medicare & Medicaid Sewices Garden AS et al. Preliminary results ofradiation Therapy Oncology Group 97-03: a randomized phase II trial of

More information

Single slice helical CT CT 1 2005 1 4 1. CT Anti-Lung Cancer Association: ALCA 1-5) 1993 9 10 ALCA (Nawa 6) ) single slice helical CT 10mm CT 2. 1 (http://www.thoracic-ctscreening.org/jpn/index.html )

More information

untitled

untitled 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Int J Radiat Oncol Biol Phys 49 Cancer 101 Int J Radiat Oncol Biol Phys 60 Chest 124 Int J Radiat Oncol Biol Phys 56 Int J Radiat Oncol Biol Phys 49 Chest 124 Int J

More information

VENTANA ALK D5F3 Rabbit Monoclonal Antibody OptiView ALK D5F3

VENTANA ALK D5F3 Rabbit Monoclonal Antibody OptiView ALK D5F3 VENTANA ALK D5F3 Rabbit Monoclonal Antibody OptiView ALK D5F3 2 OptiView ALK D5F3 11 10 79.3%31% 18% 80 85NSCLC 40% 1,2 1 1018 ALK ALK 2 ALK 3 5% ALK EML4 EML4-ALK Coild-Coil ALK ALK 3,4,5 2 6 EGFR 50%

More information

EVALUATION OF MAGNETIC RESONANCE IMAGING (MRI) IN DIAGNOSIS OF ACOUSTIC NEUROMA-COMPARATIVE STUDY WITH PLAIN X-RAY AND CTS- KIMIHISA NOMURA, M.D., MAK

EVALUATION OF MAGNETIC RESONANCE IMAGING (MRI) IN DIAGNOSIS OF ACOUSTIC NEUROMA-COMPARATIVE STUDY WITH PLAIN X-RAY AND CTS- KIMIHISA NOMURA, M.D., MAK EVALUATION OF MAGNETIC RESONANCE IMAGING (MRI) IN DIAGNOSIS OF ACOUSTIC NEUROMA-COMPARATIVE STUDY WITH PLAIN X-RAY AND CTS- KIMIHISA NOMURA, M.D., MAKOTO SAKAI, M.D., ATSUSHI SHINKAWA, M.D. and HIROSATO

More information

特殊病態下感染症における抗菌薬治験の手引き作成委員会報告書(案)

特殊病態下感染症における抗菌薬治験の手引き作成委員会報告書(案) VOL.51 NO.6 JUNE 2003 JUNE 2003 9) Niederman MS et al: Guidelines for the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy and prevention.

More information

PowerPoint プレゼンテーション

PowerPoint プレゼンテーション * ** 117,320 70,293 109,140 49,830 93,402 45,744 60,986 31,875 47,318 28,829 45,367 18,186 29,025 12,838 27,822 11,970 20,734 10,823 19,994 10,336 * 2007 ** 2011 65% 25% 9 DNA P53, ATM G1 S G2 G1 M 1

More information

; cm 4. ; 2. ; 3. ; 5. 2 ; 120 ng/ml Mφ 6 7, 8 9

; cm 4. ; 2. ; 3. ; 5. 2 ; 120 ng/ml Mφ 6 7, 8 9 32, 21-25, 2012 CASLE 1 1 80 26 6 5 4 cm 1 2 CEA 3 4 CEA 2 44 22 2 3 1.5 cm 22 1. 1 ; 6 5 4 cm 4. ; 2. ; 3. ; 5. 2 ; 120 ng/ml 0-40 5 Mφ 6 7, 8 9 23 6. ; 9. ; 7. ; 10. ; 8. 7 10 CK3 CK3 24 1,2 3 2 8% 4,5

More information

膵癌超音波診(案)

膵癌超音波診(案) 1 2 3 4 5 6 7 8 9 10 2009 7 6 2 a. invasive ductal carcinoma * 1 b. endocrine neoplasm c. Solid pseudopapillary neoplasm d. tumor producing pancreatitis * 2 * 1 invasive ductal carcinomas papillary adenocarcinoma

More information

原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 要旨 Gy Key words はじめに 1 70Gy 2 2 QOL

原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 要旨 Gy Key words はじめに 1 70Gy 2 2 QOL 原 著 放射線皮膚炎に対する保湿クリームの効果 耳鼻科領域の頭頸部照射の患者に保湿クリームを使用して * 1 2 1 2 要旨 2011 1 2013 9 33 0 1 6 16 17 60Gy Key words はじめに 1 70Gy 2 2 QOL 3 4 2014 6 16 2015 4 17 連絡先 359 0042 3 2 Phone 04 2995 1511 Fax 04 2995 0633

More information

教育講演 放射線治療における位置的不確かさの影響 ずれるとどうなる 都島放射線科クリニック / 大阪大学塩見浩也 放射線治療を確実に施行するためには, 安全なマージンの設定が不可欠である. ターゲットの設定は,ICRU report 50, 62 3) で規定されている肉眼的腫瘍体積 (GTV; g

教育講演 放射線治療における位置的不確かさの影響 ずれるとどうなる 都島放射線科クリニック / 大阪大学塩見浩也 放射線治療を確実に施行するためには, 安全なマージンの設定が不可欠である. ターゲットの設定は,ICRU report 50, 62 3) で規定されている肉眼的腫瘍体積 (GTV; g 教育講演 放射線治療における位置的不確かさの影響 ずれるとどうなる 都島放射線科クリニック / 大阪大学塩見浩也 放射線治療を確実に施行するためには, 安全なマージンの設定が不可欠である. ターゲットの設定は,ICRU report 50, 62 3) で規定されている肉眼的腫瘍体積 (GTV; gross tumor volume), 臨床標的体積 (CTV; clinical target volume),itv(internal

More information

J. Jpn. Stomatol. Soc. 39(1) : , January, 1990 Clinical and histopathological studies of combination therapy with Cisplatin and Peplomycin (PP t

J. Jpn. Stomatol. Soc. 39(1) : , January, 1990 Clinical and histopathological studies of combination therapy with Cisplatin and Peplomycin (PP t J. Jpn. Stomatol. Soc. 39(1) : 175183, January, 1990 Clinical and histopathological studies of combination therapy with Cisplatin and Peplomycin (PP therapy) for the carcinoma of the tongue Iwai TOHNAI,

More information

がん診療におけるFDG FDG-PET/CTの役割

がん診療におけるFDG FDG-PET/CTの役割 PET/CT PET/CT MRI PET PET/CT Kurashiki Central Hospital FDG-PET CT PET/CT (stage1) FDG-PET (stage1) PET/CT FDG-PET PET/CT (stage4) FDG-PET (stage4) PET/CT FDG-PET PET/CT PET/CT

More information

Jpn. J. Med. Phys. 35(1): 2-9 (2015)

Jpn. J. Med. Phys. 35(1): 2-9 (2015) Jpn. J. Med. Phys. Vol. 35 No. 1: 2 9 (2015) PET 検査のこれまでとこれから * 1. PET 検査の歴史 PET positron emission tomography (positron emitter) in vivo 1928 Dirac PAM 1932 Anderson CD Bethe HA Joliot F Joliot-Curie F

More information

好酸球性副鼻腔炎:診断ガイドライン(JESREC Study)

好酸球性副鼻腔炎:診断ガイドライン(JESREC Study) 118 728 2015 : : JESREC Study Japanese Epidemiological Survey of Refractory Eosinophilic Chronic Rhinosinusitis Study : JESREC Study CT NSAIDs CT : JESREC Study JESREC Study 118 729 ph CTMRI Caldwell Luc

More information

_02.indd

_02.indd 30, 11-16, 2010 Z Z score Computed tomography ROC analysis 3 CT 1,2 CT 1/3 3 5 CT CT 6 7,8 MCA ASPECTS Alberta Stroke Programme Early CT Score 4 10 CT ASPECTS 50% 9 Z 10 CT Z CT 10 Z Z Z receiver operating

More information

耳鼻咽喉科の診療に関連した味覚障害

耳鼻咽喉科の診療に関連した味覚障害 25 1 17 22, 2012 QOL Canal wall up Bell 17 25 1 (%) 100 ** P0.008 80 60 40 20 No recovery Complete recovery 0 2W 6M 0-20 years n=18 2W 6M 2W 6M 21-40 years n=15 41-60 years n=27 3 2 1 Noninfla COMChole

More information

32 1 BRONJ BRONJ II BRONJ BRONJ 4 BP BRONJ 6 1 III BP BRONJ

32 1 BRONJ BRONJ II BRONJ BRONJ 4 BP BRONJ 6 1 III BP BRONJ 29 1 31 40 2014 31 Bisphosphonate related osteonecrosis of jaw; BRONJ 2008 4 2012 3 36 98 8 11 19 BRONJ 0 13 2 5 3 1 1 0 BP 4 15 10 5 α-streptococcus 0 BRONJ BRONJ BP I Paget 1 409-3898 1110 2014 1 27

More information

C/NC : committed/noncommitted

C/NC : committed/noncommitted C/NC : committed/noncommitted 110 time post-icd implant 1) The Cardiac Arrhythmia Suppression Trial (CAST) Investigators Preliminary report : Effect of encainaide and flecainide on mortality in a

More information

日本消化器外科学会雑誌第30巻第3号

日本消化器外科学会雑誌第30巻第3号 Key words : gastric cancer, progltostic factor. multivariate analysis Factors selected after Coffelation- after Stepwise rnitrally check check H o s t l A g e C O 2 S e x C O 3 Pre-op. compliation O Treatment

More information

06_学術_関節単純X線画像における_1c_梅木様.indd

06_学術_関節単純X線画像における_1c_梅木様.indd Arts and Sciences X The formulation of femoral heard measurement corrected enlargement ratio using hip joints X-ray Imaging 1 2 1 1 1 2 Key words: Bipolar Hip Arthroplasty (BHA) Preoperative planning Enlargement

More information

MV X 5 6 Common Terminology Criteria for Adverse Events Grade 1 Grade Gy 16 QOL QOL 5 6 7, 8 9, VOL.3 NO

MV X 5 6 Common Terminology Criteria for Adverse Events Grade 1 Grade Gy 16 QOL QOL 5 6 7, 8 9, VOL.3 NO 乳がん患者の放射線皮膚炎に対するスキンケアの指導の実際 がん放射線療法看護認定看護師とがん放射線治療に携わる看護師との比較 Educating practice of skin care for radiodermatitis of breast cancer patients: Comparison of the nurses with certified nurse in radiation therapy

More information

Unknown

Unknown Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.3, No.3 July 2014 Original Article Clinical significance of classification of mixed-pattern tumor by breast ultrasound...

More information

1) Perissat J, Collet DR, Belliard R : Gallstones ; laparoscopic treatment, intracorporeal lithotripsy followed by cholecystotomy on cholecystectomy. Endoscopy 21 : 373-374, 1989 2) Kato K, Matsuda M,

More information

_’£”R‡Ù‡©

_’£”R‡Ù‡© 29 31 38 2008 31 1) 2) 2) 3) 2) 1) 2008 302008 12 Activities of Daily Living ADL ADL 42 ADL ADL 1990 QOL Quality of Life QOL 1 QOL // 2 Activity of Daily Living ADL Performance Status PS ADL 3 1) 2) 3)

More information

untitled

untitled 19 CSPOR CRC/2009.8.8-9 2009 8 8 ( ) - CSPOR CRC SEMINAR- [email protected] http://www.oncoloplan.com - Toru Watanabe MD - 2 Phase I: Dose Finding trial Phase II : Efficacy and Safety trial Phase

More information

Gynecologic Oncology Trial and Investigation Consortium GOTIC-002

Gynecologic Oncology Trial and Investigation Consortium GOTIC-002 Gynecologic Oncology Trial and Investigation Consortium GOTIC-002 3 8 ...2...2...2...2...3...4...4...5...9...9...9...9...9... 13... 13... 13... 13... 13... 13... 13... 14... 14... 15... 15... 15...

More information

理学療法検査技術習得に向けた客観的臨床能力試験(OSCE)の試行

理学療法検査技術習得に向けた客観的臨床能力試験(OSCE)の試行 An Application of an Objective Structured Clinical Examination for Learning Skills in Assessment of Physical Therapy A Task Involving Measurements on the Range of Motion Test Chikako Fujita1) Hiroyasu

More information

日本消化器外科学会教育集会

日本消化器外科学会教育集会 Medical oncology T4N4M1 I 1T4 T4 T4 T4 1 T4 down-staging T4 40Gy 1 2820 R0 down-staging R0 2 T440Gy 20Gy 3 T460Gy 4 T4 down-staging T4 43 5 1511 R0 T4 1 T436Gy 6 30 18 R0 T4 1 11 3 R0 Salvage T4 Lerut

More information

network_now_1612web掲載用.indd

network_now_1612web掲載用.indd 492 28 2016 12 1 1 1 1 The Japan Association of Radiological Technologists ネットワーク ナウ http://www.jart.jp 2016 No.492 12 1 発行所公益社団法人日本診療放射線技師会 105-6131 東京都港区浜松町 2-4-1 世界貿易センタービル 31 階 TEL. 03-5405-3612 FAX.

More information

FDGPETガイドライン2012_120910_1220

FDGPETガイドライン2012_120910_1220 FDG PET, PET/CT 診 療 ガイドライン 2012 平 成 24 年 9 月 日 本 核 医 学 会 -1- FDG PET, PET/CT 診 療 ガイドライン 2012 ガイドライン 作 成 メンバー PET 核 医 学 委 員 会 委 員 長 : 細 野 眞 副 委 員 長 : 佐 賀 恒 夫 担 当 理 事 : 伊 藤 健 吾, 汲 田 伸 一 郎, 佐 々 木 雅 之, 千 田

More information

胆石症

胆石症 ,. vs 64 .. vs. -, Ransohoff DF, Gracie W. Treatment of gallstones. Ann Intern Med ; 119 : - Halldestam I, Enell EL, Kullman E, et al. Development of symptoms and complications in individuals with asymptomatic

More information

表1.eps

表1.eps Vol.1 C ontents 1 2 cell-free EMBO J Proc. Natl. Acad. Sci. USA NatureEMBO J 3 RNA NatureEMBO J Nature EMBO J 4 5 HCV HCV HCV HCV RNA HCV in situ 6 7 8 Nat Struct Mol Biol J Biol Chem Nat Commun J Virol

More information

動くレントゲン

動くレントゲン FPD 1985 1998 2000 2002 FPD X X X FPD X CAD X FPD X CAD X X 1970 Autofluoroscope Toffolo RR, et al. The autofluoroscope and 133-Xe in dynamic studies of pulmonary perfusion and ventilation. Radiology,

More information

2 W.T T.S. 70 2 1 238 WBC7400/µl, RBC 386 10 4 /µl, Hb 11.6 g/dl, Ht 36.2%, PLT 25 10 4 /µl AST 19 IU/l, ALT 11 IU/l, LDH 182 IU/l, BUN 15 mg/dl, Cr 0.54 mg/dl, CRP6.83 mg/dl, RF 353.9IU/ml, CCP 28.0IU/ml

More information

Unknown

Unknown Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.2, No.3 July 2013 Report The 30 th Meeting of Japan Association of Breast and Thyroid Sonology... 1 Department of Organ

More information

Ⅱ Hb 4.1g/dl S LST G S ESD 10 S S 4 4 S D mL tub1 muc SS ly0 v0 PM0 DM0 N0 0/27 S tub1 tub2 SS

Ⅱ Hb 4.1g/dl S LST G S ESD 10 S S 4 4 S D mL tub1 muc SS ly0 v0 PM0 DM0 N0 0/27 S tub1 tub2 SS 92 183 188 2016 1 1,2) 1) 1) 1) 1) 1) 3) 1) 2016 2 1 2016 3 11 84 S 2011 10 S 30 40 2 tub1 muc SS ly0 v0 PM0 DM0 N0 0/27 S 30 30 2 tub1 tub2 SS ly0 v0 PM0 DM0 N0 0/19 stage tub1 M ly0 v0 HM0 VM0 stage

More information

Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date URL

Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date URL Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date 1958-01 URL http://hdl.handle.net/2433/111559 Right Type Departmental Bulletin

More information

et al No To Shinkei Clin Neurol Neurology et al J Neurosurg et al Arch Neurol et al Angiology

et al No To Shinkei Clin Neurol Neurology et al J Neurosurg et al Arch Neurol et al Angiology 37 Recommendations for the Management of Moyamoya Disease A Statement from Research Committee on Spontaneous Occlusion of the Circle of Willis (Moyamoya Disease) Research on intractable diseases of the

More information

news33.pdf

news33.pdf Institute for Environmental Sciences 12 10 10 2 10 13 3 16 13 2 12 3 13 9 1 1 3 H 13 2 3 13 4 13 9 5 6 7 SPF 2 3 12 12 1 13 30 15 00 1996 Our Stolen Future 79 12 12 19 13 30 15 00 IT OA BPR 20 2000 IT

More information

! 1Munderl P et al. Survival and causes of death, 2 years after Introduction of antiretroviral therapy in Africa. XVI International AIDS Conference, 2006, Abstract THLB0208. 2Walensky RP et al. The

More information

untitled

untitled 2008/04/27 1. 1 2 staticdynamics etc 3 Hedberg A, Carlberg EB, Forssberg H, Hadders-Algra M. Development of postural adjustments in sitting position during the first half year of life. Dev Med Child Neurol.

More information

1 ) Birnberg et al; Am. J. Obst. Gyn., 54 :88E 1947. 2) Bromberg, Y.M. & Bercovici, B. : Acta Endocrin., 7; 71, 1956. 23 : 33, 1956; Fertil. and Steril. 3) Fluhmann, C. F. : The management of menstrual

More information

H + e - X (

H + e - X ( がん放射線治療 基礎的知識から最新の治療まで H + e - X ( X X Linear accelerator 金属 電子線 4 10MV 深部の腫瘍に届く 皮膚が焼けにくい 100% 50% 6MV X 100% 2 6 8 10 12cm 120KV X 表面より奥が最大になる 50% 9MeV 2 6 8cm 皮膚が焼けにくい 皮膚上にボーラスをのせる 2Gy x 5 回 / 週 月火水木金

More information